Scp for hospitals
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Spine Care Partners is a healthcare consulting firm with over 90 years of collective clinical experience in evaluating and treating spine pain. The firm consists of Ian Paskowski, Tom Neuner, Brian Justice, and John Ventura. They propose creating a spine center for a large hospital system to increase market share, build physician alliances, be low cost and easy to implement while providing a high return on investment. Their discovery phase would analyze factors such as patient satisfaction, care pathways, costs, efficiencies, productivity, and growth opportunities to design the optimal spine center model.
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This document outlines a proposed physical therapy at orthopedic sarcoma (PTOS) project. The project aims to improve outcomes for sarcoma patients undergoing surgery by implementing prehabilitation (physical and mental preparation prior to surgery). A key aspect is developing a 10-question screening tool called the "Shah screening tool" to identify patient risk factors and determine what pre-surgical interventions may help, such as physical therapy or counseling. The tool would be implemented using the electronic health record and assessing patients. It is believed this could help address issues like longer recovery times and poorer outcomes from factors like depression, diabetes or poor physical function. The document outlines the project team, governance, plan, process changes needed and communication plan to stakeholders like
Lesley B Caudill
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Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
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Endocrine Therapy
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Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
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Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
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Scp for hospitals
- 1. [email_address] www.spinecarepartners.com 200 Worcester Rd Suite B Falmouth, MA 02540 508-457-1245 Accountable Sustainable Excellence
- 2. jventura6@rochester.rr.com 585-943-7680 Spine Care Partners, LLC healthcare consultants
- 4. Value: Jordan Hospital Experience jventura6@rochester.rr.com 585-943-7680 JMPT 2011 Vol 34 No 2
- 5. VALUE: Jordan Hospital Experience jventura6@rochester.rr.com 585-943-7680 Paskowski I, Ventura J, et al. JMPT 2011
- 6. Hospital Market jventura6@rochester.rr.com 585-943-7680 23% 16% 12% 25% 24%
- 7. Spine Care Market jventura6@rochester.rr.com 585-943-7680 Martin BI. JAMA 2008; 299(6)
- 9. jventura6@rochester.rr.com 585-943-7680 ‘ Right Patient/Right Provider/Right Time’
- 13. Thank You jventura6@rochester.rr.com 585-943-7680 Accountable Sustainable Excellence John M Ventura [email_address] (585)943-7680
Editor's Notes
- Good morning, I’m John Ventura, one of the founders of Spine Care Partners. We are a limited liability corporation incorporated in December 2010 and has thus far been self funded; our guiding principles are accountability, sustainability and excellence. Our initial focus is upon the establishment of hospital based spine centers
- As a health care consulting company assisting hospitals in establishing a Spine Center, Our goal is to get the right patient to the right treatment at the right time while increasing the spine care market share for our partner hospitals; Our care pathway is based in NCQA quality standards and Lean Six Sigma process management; Part of our training is linked to our marketing: providing a patient centered, evidence based pathway for primary care physicians (those who see majority of spine patients initially) to utilize in determining need for referral to spine center; This increases referrals to spine center and creates strong alliance with physicians in the community;
- Our spine center model has been tested in a hospital based setting in the challenging state of MA (where national health care is beginning) and we have published an overview of our pathway and the beneficial clinical and financial outcomes associated with this model;
- And here are some of the positive clinical and financial outcomes realized from the implementation of our model; Jordan hospital spine center, located in Plymouth MA, operates under the NCQA LSS management strategies of SCP; subsequent data reveal 1400 new patients for spine center for first full year of operation; created strong alliance with physicians in the community; by effectively managing the 80% effectively, increased traffic through spine center, which indirectly then increases advanced care (MRI, PM, surgery); surgical fast track days greatly increase the surgical yield for the spine surgeon, maximizing their time efficiency (in their office they may need to see 20 spine patients to generate 1 surgery, in our fast track clinic, they may only need to see 5 patients to generate a spine surgery;
- We are going to focus on those hospitals we consider most viable, those with 100 beds or more;
- We are over managing spine care; higher costs with higher disabilty we’ve seen 423% increase in opiate use; 220% increase in spinal fusion 307% increase in MRIs 629% increase in ESIs And none of these increased costs have been proven to improve quality of care (this is exactly why NCQA has chosen back pain as one of its initial quality improvement programs)
- SCP hospital based spine center provides excellence in a sustainable, accountable model; We have developed a process driven It is high value care: quality based algorithm, lean six sigma process management, excellent clinical and patient satisfaction outcomes, rapidly increased volume of patients, free of provider bias, appropriate care at the appropriate time The Jordan Hospital Spine Center has operated in the black since its inception; Our model is sustainable, no matter the direction health care is taking
- Thank you very much for your attention, I look forward to your comments and questions.